The holder whose full name is Mathis, David Michael,come from Logansport IN,hold the CSR-Osteopathic Physician license(NO.02002859B) which status is Expired.
| Name | Mathis, David Michael |
|---|---|
| License Number | 02002859B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Logansport |
| State | IN |